Filing Details

Accession Number:
0001719844-21-000006
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-08-03 16:31:05
Reporting Period:
2021-07-30
Accepted Time:
2021-08-03 16:31:05
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1710155 National Vision Holdings Inc. EYE Ophthalmic Goods (3851) 464841717
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1719844 R. Patrick Moore C/O National Vision Holdings, Inc.,
2435 Commerce Avenue, Bldg. 2200
Duluth GA 30096-4980
Svp, Chief Financial Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2021-07-30 26,330 $4.27 32,079 No 4 M Direct
Common Stock Disposition 2021-07-30 26,330 $54.00 5,749 No 4 S Direct
Common Stock Acquisiton 2021-08-02 37,750 $4.27 43,499 No 4 M Direct
Common Stock Disposition 2021-08-02 37,750 $54.00 5,749 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (Right to Buy) Disposition 2021-07-30 26,330 $0.00 26,330 $4.27
Common Stock Stock Option (Right to Buy) Disposition 2021-08-02 37,750 $0.00 37,750 $4.27
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
37,750 2024-09-16 No 4 M Direct
0 2024-09-16 No 4 M Direct
Footnotes
  1. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan established by the reporting person on May 21, 2021. These sales were the final transactions under this Rule 10b5-1 trading plan.
  2. The shares were sold pursuant to the Rule 10b5-1 plan in multiple transactions at the price of $54.
  3. These stock options are fully vested.